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Study flow chart. Metabolic Syndrome (MetS) was defined by the presence of 3 of the following variables: waist circumference > 88 cm, blood pressure ≥ 130/ ≥ 85 mmHg, triglycerides ≥ 150 mg/dL, HDL < 50 mg/dL and fasting glucose ≥ 110 mg/dL. Patients were excluded from the study if they had missing components that precluded investigators from assessing accurate MetS status as detailed in the flow chart
